James Sutton

PFD Report Historic (No Identified Response) Ref: 2014-0090
Date of Report 24 February 2014
Coroner Andrew Walker
Coroner Area London (North)
Response Deadline est. 21 April 2014
Hospital Death (Clinical Procedures and medical management) related deaths
Judiciary.uk Report PDF
Coroner's Concerns (AI summary)
The London Ambulance Service failed to automatically link multiple risk factors—a 5-foot fall, patient age over 50, and anti-clotting medication—to trigger an 8-minute emergency response.
View full coroner's concerns
_ (1) The fact that Mr Sutton had fallen as little as 5 feet; that he was over 50 years old and that he was taking anti-clotting medications, (Clopidogrel) , were not iinked automatically by the London Ambulance Service to result in a response within 8 minutes_
Sent To
  • Department of Health and Social Care
Response Status
Linked responses 0 of 1
56-Day Deadline 21 Apr 2014
About PFD responses

Organisations named in PFD reports must respond within 56 days explaining what actions they are taking.

Source: Courts and Tribunals Judiciary

Report Sections
Circumstances of the Death
On the 1th 2013 Graham James Sutton fell 5 feet from a ladder and struck his head on concrete whilst cutting a hedge: Mr Sutton was able to get up and took himself to bed. Mr Sutton was then taken by ambulance to hospital before being transferred to a Trauma Centre where despite treatment he died.
Action Should Be Taken
30th July

Her Majesty's Coroner for the Northern District of Greater London (Harrow, Brent, Barnet; Haringey and Enfield) In my opinion action should be taken to prevent future deaths and believe you [ANDIOR your organisation] have the power to take such action
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.